Preoperative biliary drainage for hilar cholangiocarcinoma : which stent should be selected?

Kawakami, Hiroshi; Kondo, Satoshi; Kuwatani, Masaki; Yamato, Hiroaki; Ehira, Nobuyuki; Kudo, Taiki; Eto, Kazunori; Haba, Shin; Matsumoto, Joe; Kato, Kentaro; Tsuchikawa, Takahiro; Tanaka, Eiichi; Hirano, Satoshi; Asaka, Masahiro

Preoperative biliary drainage for hilar cholangiocarcinoma : which stent should be selected?

Kawakami, Hiroshi; Kondo, Satoshi; Kuwatani, Masaki et al.

Journal of Hepato-Biliary-Pancreatic Sciences, 2011, 18(5), 630-635

Permalink : https://hdl.handle.net/2115/47044

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アクセス権	open access
URI	https://hdl.handle.net/2115/47044
タイトル	Preoperative biliary drainage for hilar cholangiocarcinoma : which stent should be selected?
著者	Kawakami, Hiroshi ; Kondo, Satoshi ; Kuwatani, Masaki ; Yamato, Hiroaki ; Ehira, Nobuyuki ; Kudo, Taiki ; Eto, Kazunori ; Haba, Shin ; Matsumoto, Joe ; Kato, Kentaro ; Tsuchikawa, Takahiro ; Tanaka, Eiichi ; Hirano, Satoshi ; Asaka, Masahiro
e-Rad_Researcher 80399823 著者名 Kawakami, Hiroshi
著者名 Kondo, Satoshi
著者名 Kuwatani, Masaki
著者名 Yamato, Hiroaki
著者名 Ehira, Nobuyuki
著者名 Kudo, Taiki
著者名 Eto, Kazunori
著者名 Haba, Shin
著者名 Matsumoto, Joe
著者名 Kato, Kentaro
著者名 Tsuchikawa, Takahiro
著者名 Tanaka, Eiichi
著者名 Hirano, Satoshi
著者名 Asaka, Masahiro
言語	英語
キーワード	Hilar cholangiocarcinoma
	Preoperative biliary drainage
	Endoscopic biliary drainage
	Endoscopic nasobiliary drainage
	Bilateral biliary drainage
発行日	2011-09
出版者	Springer Japan
収録物名	Journal of Hepato-Biliary-Pancreatic Sciences
巻(号)	18(5)
ページ	630-635
抄録	The controversy over whether and how to perform preoperative biliary drainage (PBD) in patients with hilar cholangiocarcinoma (HCA) remains unsettled. Arguments against PBD before pancreatoduodenectomy have recently been gaining momentum. However, the complication-related mortality rate is as high as 10% for patients with HCA who have undergone major liver resection, and liver failure is a major cause of postoperative death. This suggest the need for PBD to treat jaundice in HCA patients scheduled for major surgical resection of the liver and to perform major surgery only after recovery of hepatic function. No definite criteria or guidelines outlining indications for PBD are currently available. In patients with HCA, PBD may be performed by either percutaneous transhepatic biliary drainage (PTBD) or endoscopic biliary drainage (EBD). No consensus, however, has been reached regarding which drainage method is more appropriate. No reported study has compared the effectiveness of PTBD, endoscopic biliary stenting (EBS), and endoscopic nasobiliary drainage (ENBD) in patients with HCA. This review summarizes the results of our study comparing the three methods and outlines the preoperative endoscopic management of segmental cholangitis (SC) in HCA patients undergoing PBD.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	The original publication is available at www.springerlink.com
PISSN	1868-6974
関連情報	PMID 21655974
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1007/s00534-011-0404-7